ALEXANDER R MEDINA


Address: 678 3rd Ave, Chula Vista, CA 91910-5736
Phone: 6196624100

ALEXANDER R MEDINA (NPI# 1467714436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467714436
Entity Type Individual
Full Name ALEXANDER R MEDINA
Credential MD
Practice Address 678 3rd Ave
Chula Vista
CA 91910-5736
Mailing Address 1275 30th St
San Diego
CA 92154-3476
Practice Telephone 6196624100
Mailing Telephone 6196624100
Enumeration Date 2012-06-14
Last Update Date 2015-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine A133539 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE A133539 01

Other Providers ALEXANDER MEDINA

NPI Name Taxonomy Address Enumeration
1013438621 Alexander Francisco Medina Specialist/Technologist 251 Bluestone Dr Sports Medicine, Harrisonburg, VA 22807-0001 2017-07-05

Office Location

Street Address 678 3RD AVE
City CHULA VISTA
State CA
Zip Code 91910-5736

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306930573 Maricela E Murillo Dentist 678 3rd Ave, Suite 301, Chula Vista, CA 91910-5739 2006-10-03
1386281541 America Paloma Juarez Social Worker 678 3rd Ave, Chula Vista, CA 91910-5736 2019-12-06
1689234239 Centro De Salud De La Comunidad De San Ysidro, Inc. Health Educator 678 3rd Ave, Chula Vista, CA 91910-5736 2019-06-17
1902319197 Blanca Blas Dental Hygienist 678 3rd Ave, Chula Vista, CA 91910-5736 2017-11-09
1922531250 Krystal Alicia Jimenez Family Medicine 678 3rd Ave, Chula Vista, CA 91910-5736 2017-04-04
1699176024 Phuong-anh Natalie Nguyen Dentist 678 3rd Ave, Chula Vista, CA 91910-5736 2014-09-04
1427475318 Melissa Campos Family Medicine 678 3rd Ave, Chula Vista, CA 91910-5736 2014-03-28
1205253150 Karen Law Family Medicine 678 3rd Ave, Chula Vista, CA 91910-5736 2014-03-27
1326486861 Centro De Salud De La Comunidad De San Ysidro, Inc. Clinic/Center 678 3rd Ave, Chula Vista, CA 91910-5736 2013-06-06
1548557903 Rachel Anne Abbott Family Medicine 678 3rd Ave, Chula Vista, CA 91910-5736 2011-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477194264 Joshua Maurice Hayden Dental Hygienist 678 Thrid Ave, Chula Vista, CA 91910 2019-10-02
1255980504 Samantha Bernaldo Dental Hygienist 668 Third Ave, Chula Vista, CA 91910 2019-09-10
1073179529 Roshni Kakaiya Student in an Organized Health Care Education/Training Program 435 H Street, Cv112, Chula Vista, CA 91910 2019-05-09
1598232506 Naria Le Mire Dietitian, Registered 288 Broadway #141a, Chula Vista, CA 91910 2018-10-28
1730676727 Pei Chi Chain Optometrist 324 F Street., Chula Vista, CA 91910 2018-04-16
1104332741 Teodoro David Pena Dentist 510 Broadway Ste 4-5, Chula Vista, CA 91910 2017-12-19
1538684865 Camille Cooke Counselor 430 F. Street, Chula Vista, CA 91910 2017-08-08
1184146094 Alexandra Lynn Scovill Optometrist Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 2017-07-12
1396270583 Tam Trieu Pharmacist 555 Broaway Suite 1054, Chula Vista, CA 91910 2017-04-25
1548792815 Sabrina Owens Family Medicine 499 H Street Cv112, Chula Vista, CA 91910 2017-03-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588197826 Miguel Alvarez-estrada Family Medicine 480 Fourth Ave Ste 403, Chula Vista, CA 91910-4413 2017-04-04
1548792815 Sabrina Owens Family Medicine 499 H Street Cv112, Chula Vista, CA 91910 2017-03-28
1285088013 Yelennia Palacios Family Medicine 480 4th Ave Ste 403, Chula Vista, CA 91910-4413 2016-04-18
1437554979 Martin Kabongo, M.d., Apc Family Medicine 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865 2014-10-27
1396167813 Mohammed K Elsayed A Proffesional Corporation Family Medicine 330 Oxford St Ste 106, Chula Vista, CA 91911-3118 2014-01-17
1760702237 Jean Rizkallah, Md, Inc Family Medicine 450 Fourth Ave., Ste 408, Chula Vista, CA 91910-4430 2010-06-08
1174841936 Jean Rizkallah, Md Family Medicine 450 Fouth Ave, Ste 407, Chula Vista, CA 91910-0000 2010-05-04
1033341409 Andrew J Pasetti Family Medicine 644 Naples Street, Toc Chula Vista, Chula Vista, CA 91911 2009-08-18
1831328616 Marina Udowenko Family Medicine 450 Fourth Ave Ste 408, Chula Vista, CA 91910-4430 2009-07-14
1982840518 Rebecca Smith, Md, Medical Corporation Family Medicine 272 Salinas Dr Unit 165, Chula Vista, CA 91914-0444 2009-01-03
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Competitor

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City CHULA VISTA
Zip Code 91910

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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